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Autumn Lake Healthcare at the Willows

225 Amity Rd, Woodbridge, CT 06525 · South Central Ct County · (203) 387-0076

90 certified beds, about 83 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1990

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 075331 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on November 14, 2025, inspectors cited 7 health deficiencies (the Connecticut average is 13.4, the national average 9.2).

None of its 25 health citations since September 2021 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.80 hours per resident per day, against 3.73 across Connecticut and 3.86 nationally. Registered nurses accounted for 0.63 of those hours.

27.5% of nursing staff left within the year CMS measured (Connecticut average 37.4%).

CMS links it to Autumn Lake Healthcare, an affiliated group of 59 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 25 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
19D
3E
1F
Potential for minimal harm
0A
2B
0C
November 14, 2025Standard inspection · 7 citations
  1. E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 18, 2025
    Inspectors wroteBased on observation, review of facility documentation, facility policy and interview, the facility failed to ensure ophthalmic medications were labeled properly after opening.
  2. E
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 18, 2025
    Inspectors wroteBased on review of facility documentation, facility policy and interviews for 4 of 5 residents, (Resident #3, 9, 12 and 75) reviewed for pneumococcal and influenza vaccine administration, the facility failed to ensure informed consent and documented administration of pneumococcal and influenza vaccinations was done according to policy.
  3. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 18, 2025
    Inspectors wroteBased on observation, review of the clinical record, facility policy, and interviews for 1 of 5 residents (Resident #2) reviewed for pressure ulcers, the facility failed to ensure the implementation of appropriate measures to prevent the possible worsening of pressure ulcers for a dependent resident.
  4. D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 18, 2025
    Inspectors wroteBased on observation, review of the clinical record, facility documentation, facility policy and interview for 1 resident (Resident #65) reviewed for enteral feeding, the facility failed to provide enteral feeding according to professional standards to prevent aspiration.
  5. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 18, 2025
    Inspectors wroteBased on review of the clinical record, policy, and interviews for the only sampled resident (Resident #7) reviewed for a specialized treatment, the facility failed to ensure that a recommendation for a change in medication received from the specialized treatment center was acted upon.
  6. D
    Provide or obtain dental services for each resident.
    F791 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 18, 2025
    Inspectors wroteBased on review of the clinical record, policy, observation, and interviews for the only sampled resident (Resident #85) reviewed for dental services, the facility failed to act upon a dental recommendation for a consultation with an oral surgeon.
  7. D
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 18, 2025
    Inspectors wroteBased on observation, review of facility policy and interview for 1 resident (Resident #43) reviewed for food, the facility failed to serve meals at a palatable temperature.
August 13, 2024Complaint inspection · 2 citations
  1. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 23, 2024
    Inspectors wroteBased on clinical record reviews, observations, facility documentation, facility policy and interviews for one (1) of three (3) residents, (Resident #1), reviewed for showers, the facility failed to provide a weekly shower in accordance with the plan of care.
  2. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 23, 2024
    Inspectors wroteBased on clinical record reviews, observations, facility documentation, facility policy and interviews for two (2) of three (3) residents (Resident #1 and #2), reviewed for wounds and medication administration, the facility failed to perform wound care and administer medications as ordered.
April 12, 2024Complaint inspection · 2 citations
  1. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 6, 2024
    Inspectors wroteBased on clinical record review, facility documentation review, facility policy review, and interviews for one Resident (Resident # 1) reviewed for abuse, the facility failed to ensure care was provided in a dignified manner.
  2. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 6, 2024
    Inspectors wroteBased on clinical record review, facility documentation review, facility policy review, and interviews for one of three residents (Resident # 1) reviewed for accidents, the facility failed to ensure weekly skin assessments were completed timely, failed to ensure a post fall risk assessment was completed timely.
January 10, 2024Standard inspection · 11 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 24, 2024
    Inspectors wroteBased on the tour of the Dietary Department and staff interview, the facility failed to ensure the Dietary department was maintained in a clean, sanitary manner and that food items were consistently labeled and stored to reflect their age or shelf life.
  2. E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 24, 2024
    Inspectors wroteBased on a tour of the Dietary Department with the Dietary Director and interviews, the facility failed to provide lunch at appropriate and appetizing temperatures.
  3. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 24, 2024
    Inspectors wroteBased on observation, clinical record review, review of facility policy, and interviews for 1 of 3 sampled residents (Resident #10) reviewed for pressure ulcers, the facility failed to notify the licensed medical provider of a change in skin condition.
  4. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 24, 2024
    Inspectors wroteBased on observation, interviews, clinical record review, and facility policy for 1 of 3 sampled residents ( Resident #19) reviewed for falls, the facility failed to revise the Resident Care Plan (RCP) after Resident #19 fell.
  5. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 24, 2024
    Inspectors wroteBased on observations, clinical record review, review of facility policy, and interviews for 1 of 3 sampled residents (Resident #10) reviewed for alteration in skin integrity, the facility failed to report a new open skin area to the physician, failed to conduct an assessment by a Registered Nurse, and failed to obtain a licensed practitioner order for treatment to the open skin area in a timely manner. Additionally, for 1 of 5 sampled residents (Resident #19) reviewed for unnecessary medication, the facility failed to follow Advanced Practice Registered Nurse (APRN) orders directing daily weights.
  6. D
    Assist a resident in gaining access to vision and hearing services.
    F685 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 24, 2024
    Inspectors wroteBased on staff/resident interview, record review and review of facility documentation for 1 of 1 sampled resident (Resident #3) reviewed for audiology, the facility failed to ensure audiology recommendations were responded to by the physician.
  7. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 24, 2024
    Inspectors wroteBased on observations, clinical record review, review of facility policy, and interviews for 3 of 3 sampled residents (Resident #5, #10, and #60 ) reviewed for pressure ulcers, the facility failed to conduct Braden Scale Assessments per the facility policy and failed to report a new open skin area to the facility Registered Nurse to conduct an RN assessment, and failed to get a licensed practitioner order for treatment in a timely manner related to Resident #10.
  8. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 24, 2024
    Inspectors wroteBased on observation, interviews, and review of facility policy regarding medication administration, the facility failed to ensure the medication cart was locked when unattended.
  9. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 24, 2024
    Inspectors wroteBased on observation, staff interviews, and policy review for 2 sampled residents on isolation precautions (Resident #184 and Resident #236), the facility failed to ensure staff wore the appropriate Personal Protective Equipment (PPE) when entering a COVID-19 positive isolation room.
  10. B
    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
    F568 · Resident Rights · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) February 24, 2024
    Inspectors wroteBased on resident/staff interviews, review of the resident trust accounts and facility policy for 2 of 2 sampled residents (Resident #51 and Resident #60) reviewed for personal funds, the facility failed to provide quarterly statements to the residents.
  11. B
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    F803 · Nutrition and Dietary · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) February 24, 2024
    Inspectors wroteBased on observation, review of facility documentation, facility policy and interview, the facility failed to ensure that meals provided to the residents of the facility were based on the posted menu and failed to provide reasonable notification to the residents of any menu changes or substitutions.
September 22, 2021Standard inspection · 3 citations
  1. D
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 8, 2021
    Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for 1 resident (Resident #6) reviewed for grievances, the facility failed to initiate, investigate and follow up on a resident reported grievance.
  2. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 8, 2021
    Inspectors wroteBased on review of the clinical record, facility documentation, facility policy, and interviews for 1 of 3 residents (Resident #49) reviewed for abuse, the facility failed to complete neurological assessments after a facial bruise was identified.
  3. D
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 8, 2021
    Inspectors wroteBased on observation, review of the clinical record, facility documentation, facility policy, and interviews for 1 resident (Resident # 38) reviewed for positioning, the facility failed to apply a multipodus boot according to therapy recommendations.

Fire safety inspections

3 fire safety citations on file: 3 on January 10, 2024.

Every fire safety citation3 citations
  1. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · January 10, 2024 · Corrected (the home has a date of correction)
  2. E
    Install corridor and hallway doors that block smoke.
    K 363 · January 10, 2024 · Corrected (the home has a date of correction)
  3. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · January 10, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeConnecticutUnited States
All nursing staff (RN, LPN and aides)3.803.733.86
Registered nurses0.630.690.69
All nursing staff on weekends3.693.373.42
Nurse aides2.15
Licensed practical nurses1.03
Nursing staff turnover (share who left in a year)27.5%37.4%45.8%
Registered nurse turnover35.3%38.6%42.9%
Administrators who left0

CMS expects 4.18 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.85 on weekdays and 3.69 on weekends, 4% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 13.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.55 in April to June 2025 to 3.80 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.800.633.853.69 13.0%0 of 9083
Oct to Dec 20253.660.713.793.32 8.8%0 of 9285
Jul to Sep 20253.590.723.733.25 7.1%0 of 9285
Apr to Jun 20253.550.653.663.29 6.8%0 of 9185
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Connecticut, Jan to Mar 20263.660.613.803.316.0%1.3% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeConnecticutUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
14.217.913.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.41.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.33.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
9.216.414.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
8.84.04.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
9.017.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
25.724.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
9.910.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.62.11.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.61.51.8

Owners and operators

Legal business name: 225 AMITY RD OPCO LLC. CMS links this home to Autumn Lake Healthcare, a group of 59 nursing homes averaging 2.9 stars overall.

NameRoleTypeShareSince
Kc Derby Ct Al Opco Jv LLC5% or greater direct ownership interestOrganization100%11/28/2023
Aut Ct7 Holdings LLC5% or greater indirect ownership interestOrganization100%11/28/2023
Schwartz, MarkManaging control - governing bodyIndividual11/28/2023
Mongillo, PeterOperational/managerial controlIndividual11/28/2023
Perera, ChannaOperational/managerial controlIndividual11/28/2023
Schwartz, MarkOperational/managerial controlIndividual11/28/2023
Mongillo, PeterAdp of the SNFIndividual11/28/2023
Perera, ChannaAdp of the SNFIndividual11/28/2023

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 12 problems in this area, most recently on November 14, 2025: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
  2. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 4 problems in this area, most recently on November 14, 2025: "Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on April 12, 2024: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on November 14, 2025: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."

Other nursing homes nearby

Connecticut contacts for a concern about a nursing home

These are the official offices in Connecticut. NursingHomeClear cannot take or act on complaints.

Common questions

What is Autumn Lake Healthcare at the Willows's Medicare star rating?
CMS rates Autumn Lake Healthcare at the Willows 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Autumn Lake Healthcare at the Willows get at its last inspection?
7 health deficiencies at the standard inspection on November 14, 2025. The Connecticut average is 13.4.
Has Autumn Lake Healthcare at the Willows been fined?
CMS lists no fines in the last three years.
Does Autumn Lake Healthcare at the Willows accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Autumn Lake Healthcare at the Willows?
CMS lists 8 owners and managers, and links the home to Autumn Lake Healthcare. Legal business name: 225 AMITY RD OPCO LLC.

Sources

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